Acute intussusception: a classic clinical picture?

Détails

ID Serval
serval:BIB_A5C3FD658B62
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Acute intussusception: a classic clinical picture?
Périodique
Helvetica paediatrica acta
Auteur(s)
Fanconi S., Berger D., Rickham P.P.
ISSN
0018-022X
Statut éditorial
Publié
Date de publication
1982
Volume
37
Numéro
4
Pages
345-52
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
57 patients with acute intussusception were admitted to the Children's Hospital Zurich between 1972 and 1979. All were treated surgically. One died, 7 needed a bowel resection, 9 intussusceptions were difficult and 32 easy to reduce. The retrospectively reviewed data show that the classic symptomatology, beginning suddenly in a healthy male (60%) under 3 years of age (91%) with attacks of colicky pain (81%), vomiting (93%), a palpable abdominal mass (72%) and rectal bleeding (72%), appears during the course of illness or may not be present at all. This leads to misdiagnosis, wrong treatment and worsening of the pathology. Blood per rectum, the most typical symptom, was present in the first hours of illness in only 5%, vomiting in 44% and colicky pain in 33% of the patients. A high degree of awareness is therefore necessary to diagnose intussusception during the first hours of illness, and particular stress must be laid on the accuracy of the diagnosis because reducibility and resection rate depend directly on the duration of the symptoms.
Mots-clé
Acute Disease, Adolescent, Age Factors, Child, Child, Preschool, Humans, Infant, Intussusception, Retrospective Studies, Seasons, Switzerland
Pubmed
Web of science
Création de la notice
25/01/2008 11:07
Dernière modification de la notice
20/08/2019 16:10
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